FEC Form 1 for North Carolina Hospital Association Political Action Committee - FederalForm 1 for North Carolina Hospital Association Political Action Committee - Federal

FEC FORM 1

STATEMENT OF ORGANIZATION

FILING FEC-297855

1. North Carolina Hospital Association Political Action Committee - Federal

P.O. Box 4449
Cary, NC 275194449
Fax: 919-677-4200
Email: scoker@ncha.org

2. Date: 07/26/2007

3. FEC Committee ID #: C00194647 This committee is a Separate Segregated Fund

Affiliated Committees/Organizations

American Hospital Association Political Action Committee
325 Seventh Street NW
Washington, DC 20004
Relationship: Affiliated Federal PAC
Organization Type: Trade Association

Custodian of Records:

Treasurer:

Ms. Suzanne Coker
P.O. Box 4449
Cary, North Carolina 275194449
Title: Director of Advocacy
Phone # (919) 677-4231

Designated Agent(s):

Banks or Depositories

BB&T
1821 S. Main St.
Wake Forest, North Carolina 27587

Signed: Ms. Suzanne Coker
Date Signed: 07/26/2007
Official Committee FAX: 919-677-4200

FORM TEXT

(End FEC FORM 1)

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